THOMAS L FORNELLI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158273

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

FORNELLI

Business Name

THOMAS L FORNELLI

Original Issue Date

12/10/2004

Effective Date

02/25/2010

Expiration Date

03/31/2011

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011